How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $288.40 Median $1,258.93 Typical High $3,467.37 | Facility | None | $288.40 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $239.88 | Professional | None | $154.88 | $199.53 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | None | $125.89 | $125.89 | $154.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $707.95 | Facility | None | $75.86 | $165.96 | $707.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $245.47 | Professional | None | $154.88 | $199.53 | $245.47 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $1,000.00 | Facility | None | $72.44 | $134.90 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $234.42 | Professional | None | $125.89 | $181.97 | $234.42 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $269.15 | Professional | None | $114.82 | $154.88 | $269.15 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $100.00 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $36.31 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | 54 · Surgery only | $138.04 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.20 Typical High $34.67 | Professional | 55 · Aftercare only | $27.54 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.95 Typical High $22.91 | Professional | 56 · Pre-op care only | $18.20 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $141.25 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $128.82 | $141.25 | $162.18 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 19th of 51
$191
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.